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Occlusion of the Right Coronary Artery Ostium due to Rheumatic Aortic Valve Stenosis  

Seo, Hong-Joo (Department of Thoracic and Cardiovascular Surgery, Chosun University College of Medicine)
Oh, Sam-Se (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Research Institute)
Kim, Jae-Hyun (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Research Institute)
Kim, Soo-Cheol (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyung Hee University)
Na, Chan-Young (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Research Institute)
Publication Information
Journal of Chest Surgery / v.40, no.6, 2007 , pp. 445-447 More about this Journal
Abstract
Occlusion of a coronary artery ostium and especially occlusion of the right by an aortic cusp is a rare condition. We experienced an adult patient with occlusion of the right coronary ostium that was due to fusion of the right coronary cusp to the aortic wall along with underlying rheumatic aortic valve stenosis. During the operation, the adherent right coronary cusp was excised. After confirming that the right coronary ostium was patent, the other cusps were removed, and this followed by replacement of the aortic valve with a mechanical valve. The postoperative course was uneventful.
Keywords
Coronary artery pathology; Aortic valve stenosis; Coronary artery obstruction;
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